Genitourinary NCLEX Questions | Nurselytic

Questions 52

NCLEX-PN

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Genitourinary NCLEX Questions Questions

Extract:


Question 1 of 5

Which comment is the best response the nurse can offer?

Correct Answer: D

Rationale: Acknowledging the client's feelings of discouragement validates their emotional state and opens the door for supportive communication.

Question 2 of 5

The nurse is caring for the client recovering from a percutaneous renal biopsy. Which data indicate the client is complying with client teaching?

Correct Answer: A

Rationale: Post-renal biopsy, lying flat (supine, assuming 'saline' is a typo) prevents bleeding complications, indicating compliance. Fluid restriction is unnecessary, using a commode risks bleeding, and refusing pain meds is unrelated.

Question 3 of 5

Immediately after the dialysate solution has been instilled, which nursing action is correct?

Correct Answer: A

Rationale: Clamping the tubing after instillation allows the dialysate to dwell, facilitating the exchange of waste products.

Question 4 of 5

Which nursing intervention is most appropriate when the nurse is changing the appliance of the client's ileal conduit?

Correct Answer: C

Rationale: Pressing a gloved finger over the stoma prevents urine leakage during appliance changes, maintaining hygiene and skin integrity.

Question 5 of 5

The client diagnosed with a fluid and electrolyte disturbance in the emergency department is exhibiting peaked T waves on the STAT electrocardiogram. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Assess the client for leg and muscle cramps.
Check the serum potassium level.
Notify the health-care provider.
Arrange for a transfer to the telemetry floor.
Administer Kayexalate, a cation resin.

Correct Answer: B,C,E,D,A

Rationale: Peaked T waves indicate hyperkalemia. Priority: 1) Check potassium level to confirm; 2) Notify HCP for orders; 3) Administer Kayexalate to lower potassium; 4) Transfer to telemetry for monitoring; 5) Assess cramps, a less urgent symptom.

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